T

JENIS

NO
1

SPESIFIKASI
+ DG PERITONITIS GENERALISATA
(K35.0)

TINDAKAN
EKSPLORASI LAPAROTOMY (54.11)

+ SEPSIS, UNSPECIFIED (A41.9)

APPENDICITIS AKUT, UNSPECIFIED
(K35.9)
2

APPENDECTOMY (47.09)
LAPAROSCOPY

K - I - 13 - I
A

APPENDICITIS

PERLENGKETAN

LYSIS OF PERITONEAL ADHESION

(54.59)
LAPAROSCOPY (54.51)

WITH PERITONEAL ABSCESS (K35.1)

EKSPLORASI LAPAROTOMY (54.11)

DRAINAGE OF APP ABSCESS (47.2)

WITH PERITONEAL ABSCESS (K35.1)

EKSPLORASI LAPAROTOMY (54.11)

SEPSIS (A41.9)

DRAINAGE OF APP ABSCESS (47.2)

K -1 - 40 - 111

CHOLANGITIS
(K83.0)
CHOLECYSTITIS
(K81.4)

WITH PERITONEAL ABSCESS (K35.1)

DRAINAGE OF APP ABSCESS (47.2)

CALCULUS OF BILE WITH

CHOLECYSTITIS (K80.3)

EKSPLORASI CBD (51.51)

D - 1 - 13 - I
2

+ SEPSIS (A41.4) + ANEMIA (D50.0)

B - I - 13 - III
CALCULUS OF BILE WITH
CHOLECYSTITIS (K80.3)

EKSPLORASI CBD (51.51)

DRAINAGE (REMOVAL OF
PERITONEAL ABSCESS) (97.82)

3
B
B - 4 - 14 - III
+ SEPSIS (A41.4) + ANEMIA (D50.0)
4

+ ANEMIA (D50.0)
+ CHOLECYSTOSTOMY (51.22)
B - 1 - 12 - III

CHOLECYSTITIS

CHOLECYSTITIS (K81.9)

CHOLECYSTECTOMY (51.22)

B - 1 - 12 - I
1

ILEUS OBSTRUKSI (K56.7)

K - I - 40 - I
+ SEPSIS (A41.9)

EKSPLORASI LAPAROTOMY (54.11)

EKSPLORASI LAPAROTOMY (54.11)

+ SHOCK (R57.9)
K - I - 40 - III

ILEUS
3

+ SEPSIS (A41.9)

EKSPLORASI LAPAROTOMY (54.11)

+ SHOCK (R57.9)

COLOSTOMY (46.11)

K - I - 20 - III

+ SEPSIS (A41.9)

EKSPLORASI LAPAROTOMY (54.11)

+ SHOCK (R57.9)

ANASTOMOSE DISTAL

K - I - 20 - III
D

PERITONITIS
(K65.09)

+ DG PERITONITIS GENERALISATA
(K35.0)

EKSPLORASI LAPAROTOMY (54.11)

+ SEPSIS, UNSPECIFIED (A41.9)

2
3

BENIGN
NEOPLASMA OF
RECTI (D12.8)

CHEMOTHERAPY
(99.25)

+ SEPSIS (A41.9)
HYPOVOLEMIK SHOCK (R57.1)

EKSPLORASI LAPAROTOMY (59.11)

K - 1 - 40 - III
COLOSTOMY (46.11)

COLOSTOMY (46.11)

K - 1 - 20 - III
RAWAT JALAN

BIOPSY ANUS

RAWAT INAP
2

COLONOSCOPY (45.23)
RAWAT JALAN

CHEMOTHERAPY (99.25)

RAWAT INAP
1

WITHOUT COMPLICATION(I84.9)

LOCAL EXCISION/DEBRIDEMENT
(48.35)

K - I - 50 - I
2
G

HEMORRHOID

WITHOUT COMPLICATION(I84.9)

LOCAL EXCISION/DEBRIDEMENT
(48.35)

ANEMIA (D55.0)
K - I - 50 - II
3

INTERNAL TROMBOSED
HEMORRHOID (I84.0)

COLONOSCOPY (45.23)

ANEMIA IRON DEFICIENCY (D50.0)

SEPTIC UNSPECIFIED (A41.9)

PERMANEN COLOSTOMY (46.13)

ILEUS (K56.7)

COLONOSCOPY (45.23)

CA RECTI (C20)

LAR + COLOSTOMY (48.62)

ANEMIA (D50.0)
7

COLONOSCOPY (45.23) SAJA

BIOPSY ANUS (49.23)

BIOPSY ANUS (49.23)

COLOSTOMY (46.13)

10

ABDOMINAL PERITONITIS (48.5)

COLOSTOMY (46.13)

WITHOUT OBSTRUCTION &

GANGRENE (K40.9)
REPAIR (53.03)
K - I - 14 - I

HERNIA
INGUINAL
BILATERAL

WITH GANGREN (K40.4)

REPAIR (53.03)

KI - 40 - I

EXPLORASI (54.11)

WITH OBST (K40.3)

REPAIR (53.03)

ILEUS (K56.7)
KI - 14 - I
4

WITH OBST (K40.3)

REPAIR (53.03)

ILEUS (K56.7)

EXPLORASI LAPAROTOMY (54.11)

KI - 40 - II
5

WITH OBST (K40.3)

REPAIR (53.03)

ILEUS (K56.7)

EXPLORASI LAPAROTOMY (54.11)

K - I - 20 - II

ANASTOMOSE SMALL TO LARGE

INTESTINAL (45.93)

WITH OBST (K40.3)

REPAIR (53.03)

ILEUS (K56.7)

EXPLORASI LAPAROTOMY (54.11)

SEPTIC (A41.9)

ANASTOMOSE SMALL TO LARGE

INTESTINAL (45.93)

K - I - 20 - II
7

WITH GANGREN (K40.4)

REPAIR (53.03)

K - I - 20 - I

ANASTOMOSE SMALL TO LARGE

INTESTINAL (45.93)

WITH GANGREN (K40.4)

REPAIR (53.03)

AKUT PERITONITIS (K65.0)

COLOSTOMY TEMPORARY (46.11)

K - I - 20 - III